Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $159.12 / $159.12 / $214.81	Facility	26	$159.12	$159.12	$214.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $335.52 / $409.55	Professional		$275.00	$335.52	$409.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $118.03 / $171.73	Professional	26	$55.00	$118.03	$171.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $181.49 / $230.02 / $292.83	Professional	TC	$181.49	$230.02	$292.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $220.74 / $299.50 / $385.07	Professional		$220.74	$299.50	$385.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $83.01 / $108.95 / $137.47	Professional	26	$83.01	$108.95	$137.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.98 / $358.60 / $769.36	Professional		$237.98	$358.60	$769.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $187.61 / $257.00 / $303.26	Professional	26	$187.61	$257.00	$303.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $144.18 / $217.25 / $466.10	Professional	TC	$144.18	$217.25	$466.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.25 / $470.49 / $950.80	Professional		$259.25	$470.49	$950.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.31 / $140.82 / $332.39	Professional	26	$85.31	$140.82	$332.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $168.09 / $335.55 / $701.50	Professional	TC	$168.09	$335.55	$701.50
United Facility/Professional Professional Modifier Low / Median / High Price $281.50 / $365.59 / $885.01	Professional		$281.50	$365.59	$885.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $90.68 / $116.50 / $167.50	Professional	26	$90.68	$116.50	$167.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $188.41 / $244.69 / $733.67	Professional	TC	$188.41	$244.69	$733.67